New surgical treatments for heart failure

被引:3
作者
Garrido M.J. [1 ]
Oz M.C. [1 ]
机构
[1] College of Physicians, Columbia University, New York, NY 10032
关键词
Positron Emission Tomography; Left Ventricular Assist Device; Total Artificial Heart; Left Ventricular Assist Device Support; LVAD Support;
D O I
10.1007/s11886-002-0056-y
中图分类号
学科分类号
摘要
Medical therapy for heart failure is quickly advancing, but long-term survival unfortunately remains poor. New surgical techniques seek to halt and reverse the progression of heart failure. Positron emission tomography has refined patient selection techniques for coronary artery bypass grafting in the failing heart. Left ventricular (LV) remodeling surgery and new devices change the shape of the LV and decrease LV wall stress. Passive restraint devices improve systolic function by preventing ventricular dilatation. LV assist devices have proven to be effective and provide a significantly higher 1-year survival rate when compared with maximal medical therapy. New ideas and devices are defining a new role for surgical treatment of the aging population of the United States and may provide the answer to long-term management of heart failure. © 2002 by Current Science Inc.
引用
收藏
页码:233 / 237
页数:4
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  • [1] Rose E.A., Gelijns A.C., Moskowitz A.J., Et al., Long-term use of a left ventricular assist device for end-stage heart failure, N Engl J Med, 345, pp. 1435-1443, (2001)
  • [2] Frazier O.H., Rose E.A., McCarthy P.M., Et al., Improved mortality and rehabilitation of transplant candidates treated with a long term implantable left ventricular assist system, Ann Thorac Surg, 222, pp. 327-338, (1995)
  • [3] Pepper J.R., Surgery for heart failure: Options and outcomes, Perfusion, 15, pp. 287-293, (2000)
  • [4] Westaby S., Non-transplant surgery for heart failure, Heart, 83, pp. 603-610, (2000)
  • [5] Bergmann S.R., Cardiac positron emission tomography, Semin Nucl Med, 4, pp. 320-340, (1998)
  • [6] Pagano D., Bonser R.S., Townsend J.N., Et al., Predictive value of dobutamine echocardiography and positron emission tomography in identifying hibernating myocardium in patients with postischaemic heart failure, Heart, 79, pp. 281-288, (1998)
  • [7] Maes A., Flameng W., Nuyts J., Et al., Histologic alterations in chronically hypoperfused myocardium. Correlation with pet findings, Circulation, 90, pp. 735-745, (1994)
  • [8] Shivalkar B., Maes A., Borgers M., Et al., Only hibernating myocardium invariably shows early recovery after coronary revascularization, Circulation, 94, pp. 308-315, (1996)
  • [9] Slaughter M.S., Ward H.B., Surgical management of heart failure, Clin Geriatr Med, 16, pp. 567-592, (2000)
  • [10] Frazier O.H., Myers T.J., Surgical therapy for severe heart failure, Curr Probl Cardiol, pp. 727-764, (1998)